Healthcare Provider Details

I. General information

NPI: 1336582634
Provider Name (Legal Business Name): WILLIAMS HEALTH CARE AGENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2013
Last Update Date: 04/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 5TH AVE APT 12
PATERSON NJ
07514-2177
US

IV. Provider business mailing address

335 5TH AVE APT 12
PATERSON NJ
07514-2177
US

V. Phone/Fax

Practice location:
  • Phone: 973-413-7434
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: PAULETT WILLIAMS
Title or Position: CEO
Credential:
Phone: 973-413-7434